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- ...looking for a change? Want to work no nights, no weekends, and no... ...holidays? Be able to work from home 50% of the time once trained?... ...DESCRIPTION: This individual will utilize clinical knowledge and... ...decision to a second level reviewer. This individual interfaces with...Work from homeTemporary workWork at officeRemote workMonday to FridayFlexible hours
JobTarget
Freeport, IL8 hours ago $59.24k - $76k
...edge technology, or providing clinical services you'll work alongside dedicated professionals who share your... ...license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers...Work from homeFull timePart timeLocal areaRemote workFlexible hoursEnlyte
Arlington, TX2 days ago$275k - $300k
...MediCare service line 100% administrative, non-clinical role Work from home, but candidate must be within reasonable driving distance... ...CME, PTO Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA...Work from homePermanent employmentFull timeRemote workMonday to FridayIntegrity Healthcare...
Sacramento, CA7 hours ago$60k - $75k
...Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital... ...professional development and growth. A supportive and collaborative work environment. A chance to make a meaningful impact on the...SuggestedFull timeWork at officeRemote workQuadrant Health Group
Boca Raton, FL2 days ago$78.54k - $121.72k
...Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal... ...Regional Utilization Review Documentation Specialist nurse works with the multidisciplinary team including physicians, staff...SuggestedFull timeWork at officeLocal areaShift workDay shiftTrinity Health
Maywood, IL4 days ago- ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job... ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry...Work from homeFull timeImmediate startShift work
Medical Solutions Direct Hire
White Plains, NY4 days ago $86k - $110k
...We offer remote work opportunities (AR, AZ, CO, FL, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR,... ...Affiliated are encouraged to apply! Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness...SuggestedContract workTemporary workInterim roleWork at officeLocal areaRemote workShift workTriwest Healthcare
Phoenix, AZ1 day ago- ...Job Description ***Utilization Review experience required*** Our agency is looking for an experienced and reliable Utilization Review Coordinator to work in our UR Department. LPN preferred. The ideal candidate would exhibit a strong work ethic and be highly motivated...SuggestedFull time
Rayville Recovery
Rayville, LA4 days ago $2,690 per week
...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse... ...serving as a Case Manager specializing in Utilization Review, working 40 hours per week on 8-hour shifts for a 13-week travel...SuggestedWeekly payFull timeImmediate startRemote workShift workTravel Nurses, Inc.
Bozeman, MT3 days ago$38.49 - $47.05 per hour
...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may... ...optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical...SuggestedHourly payWork at officeRemote workFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA3 days ago- Job Summary: Conducts reviews of medical records and treatment plans to evaluate and... ...across the continuum of care. Identifies utilization trends, leads efforts for improvement initiatives... ...monitors progress and results. Develops work plans to meet business priorities and...SuggestedLocal area
Kaiser Permanente
Pleasanton, CA5 days ago - ...Job Description Description: Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in... ...wages, benefits, and a pension plan in a supportive working environment. Background checks, pre-employment & drug screenings...Suggested
Conifer Park Inc.
Schenectady, NY10 days ago - ...Desk Review Specialist Kemper is one of the nations leading specialized... ...challenge, and a healthy work-life balance can be highly... ...most cost-effective parts were utilized within industry standards.... ...onsite with occasional work from home opportunities out of our local...Work from homeWork experience placementCasual workWork at officeLocal area
Kemper
Dallas, TX2 days ago - A Medical Bill Reviewer I will perform activities related to the accurate... .... Additionally, you’ll: Utilize knowledge of medical coding... ...preferred. ~1-3+ years of related work experience in a medical office... .... Monday and Friday work from home if you choose to, Tuesday...Work from homeWork experience placementWork at officeImmediate startHome officeMonday to Friday
Sentry Insurance
Stevens Point, WI5 days ago - ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies...SuggestedPermanent employmentTemporary workFor contractorsZero hours contractImmediate startShift work
Prime Staffing
Quincy, CA2 days ago - ...tax-free stipend amount to be determined. Posted job title: RN:Utilization Review,07:00:00-19:00:00 About Voca Healthcare As a Voca... ...to support you. Voca’s experienced and dedicated travel team works in concert with you every step of the way. Our long-standing...Weekly payFor contractorsZero hours contractImmediate startShift work
Voca Healthcare
Quincy, CA2 days ago - ...tax-free stipend amount to be determined. Posted job title: Utilization Review Case Manager About Anders Group WHY ANDERS? Anders Group... ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!...For contractorsImmediate startShift work
Anders Group
Quincy, CA2 days ago $51.43 - $79.84 per hour
...Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well... ...actively participates in process improvement initiatives, working with multiple departments and multi-disciplinary staff. This...Daily paidFull timeLive inLocal areaRemote workShift workDay shiftProvidence Health and Services
Seattle, WA1 day ago- ...Shift 1st Shift (Days) Description Registered Nurse Utilization Reviewer At Bristol Health, we begin each day caring today for... ...The appropriate Nurse Utilization Reviewer will have a strong working knowledge of nationally recognized criteria sets including...Full timeShift workDay shift
BRISTOL HOSPITAL GROUP
Bristol, CT2 days ago - ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description... ...• Orientation every Monday • Local travelers welcome **Work Environment:** • Scrub Color: Royal/Navy Blue • PPE...Contract workFor contractorsLocal areaShift workSundayDay shift
GQR Healthcare
Los Angeles, CA4 days ago - ...tax-free stipend amount to be determined. Posted job title: Utilization Review Case Manager About Anders Group WHY ANDERS? \n Anders Group... ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates! \...Immediate startShift work
Anders Group
Quincy, CA4 days ago - ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must live in the state of Florida or Texas Job Purpose: Review Workers Compensation requests submitted...Work from homeLive inRemote work
- ...Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote.... ...Preferred Professional Competencies Knowledge of managed care, utilization management, and quality management Working knowledge of...Full timeContract workWork experience placementWork at officeRemote work1 day per week
Blue Cross Blue Shield of Arizona
Phoenix, AZ2 days ago - ...contract position in Quincy California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Critical Access Hospital RN, Utilization Review RN . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent experience as a...Weekly payContract workZero hours contractImmediate startShift work
Assured Nursing
Quincy, CA4 days ago - ...and/or level Job Summary You will review patient cases for medical necessity and... ...needed to review medical necessity. Working with the team, you'll verify medical records... ...referral standards, reviewing utilization, and categorizing levels of care. Excellent...Work at officeImmediate startRemote work
Baylor Scott & White Health
Highland Park, TX10 days ago - ...Job Description Position Title: Utilization Review Nurse Location: Fully Remote Position... ...cost-effective, and compliant delivery of home health care. This role monitors... ...Self-directed, flexible, and able to work independently with minimal supervision....Remote workFlexible hoursWeekend work
IntePros
Phoenix, AZ4 days ago $12 per hour
...Travel Care Manager & Utilization Review RN - $2,550 per week at Wellspring Nurse Source summary: The Travel Care Manager & Utilization Review RN is responsible for managing patient care through case management and utilization review in a travel nursing assignment....Zero hours contractShift workWellspring Nurse Source
Kealakekua, HI18 days ago- ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 10/21/2025 ~ Duration: 8 weeks...Contract workShift work
GQR Healthcare
Cambridge, MA5 days ago $26.5 - $47.59 per hour
...for this role have the flexibility to work remotely from their home anywhere in the Eastern time zone.... ...rotating basis. Previous concurrent review experience is highly preferred.... ...health management systems according to utilization management policies and guidelines...Work from homeHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hoursCentene Corporation
Richmond, VA2 days ago- ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~4...Immediate startShift work
GQR Healthcare
Los Angeles, CA3 days ago
